KENNEDY WIRTZ – Diagnostic Radiology Physician, NPI 1437680089
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for KENNEDY WIRTZ
1905 N Calhoun Rd
Brookfield, WI 530055036
Phone: (262) 754-8000
Fax: (262) 780-3396
Type: Location
4455 S 108th St
Greenfield, WI 532282504
Phone: (414) 427-5310
Fax: (414) 427-5311
Type: Location
8701, West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
MILWAUKEE, WI 532263548
Phone:
Type: Mailing
9200 W WISCONSIN AVE
MILWAUKEE, WI 532263522
Phone: (414) 805-2060
Fax: (414) 259-9290
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,616.
Total Amount is formed as General ($1,616) + Research ($0) + Ownership ($0) = $1,616.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: HeartFlow, Inc. ($1,460).
Total Amount
$1,616
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,616
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HeartFlow, Inc. | $1,460 |
| Progenics Pharmaceuticals, Inc. | $143 |
| Teleflex LLC | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220716000603 | I | Diagnostic Radiology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 74177 | Ct scan of abdomen and pelvis with contrast | 139 | 119 | $0 |
| 71045 | X-ray of chest, 1 view | 110 | 97 | $0 |
| 77067 | Screening mammography | 94 | 94 | $0 |
| 77063 | Screening 3d breast mammography | 94 | 94 | $0 |
| 71046 | X-ray of chest, 2 views | 70 | 68 | $0 |
Insurance plans in this area (ZIP 53005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | WA | |
| - | MN | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI |
Reviews
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